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Nursing: Evidence
Based Practice

  

Evidence-Based Medicine (EBM) Resources


Filtered Resources

Filtered resources appraise the quality of studies and often make recommendations for practice.

Systematic Reviews / Meta-Analyses

Authors of a systematic review ask a specific clinical question, perform a comprehensive literature search, eliminate the poorly done studies and attempt to make practice recommendations based on the well-done studies. A meta-analysis is a systematic review that combines all the results of all the studies into a single statistical analysis of results.

The Cochrane Database of Systematic Reviews

Consists of detailed, structured topic reviews of hundreds of articles. Teams of experts complete comprehensive literature reviews, evaluate the literature, and present summaries of the findings of the best studies. Published by the International Cochrane Collaboration.brary.wiley.com/o/cochrane/cochrane_search_fs.html

Systematic Reviews are also searchable in MEDLINE:

In MEDLINE: Enter your search query; Scroll down to the check box EBM (Evidence Based Medicine). Click in check box.

Joanna Briggs EBP Database

The Joanna Briggs EBP (Evidence-Based Practice) Database contains evidence summaries and systematic reviews (as well as patient information handouts and other content). Based in Australia but not limited to Australian content, it also contains evidence-based material aimed at nursing practice, and much of the content contains best practice recommendations.

Critically-Appraised Individual Articles

Authors of critically-appraised individual articles evaluate and synopsize individual research studies.

The ACP Journal Club

The editors of this journal screen the top 100+ clinical journals and identify studies that are methodologically sound and clinically relevant. An enhanced abstract, with conclusions clearly stated, and a commentary are provided for each selected article. Published by the American College of Physicians-American Society of Internal Medicine.

Check the Library's ejournals list for multiple subscriptions.

bmjupdates

Quality articles from over 110 clinical journals are selected by research staff, and then rated for clinical relevance and interest by an international group of physicians. Includes a searchable database of the best evidence from the medical literature and an email alerting system. From BMJ Publishing Group and McMaster University's Health Information Research Unit. Register online and start searching.

"Evidence-Based" Journal series

(e.g., Evidence-Based Medicine, Evidence-Based Mental Health, Evidence-Based Nursing) Primary research articles within the discipline are selected for quality and clinical relevance. A structured abstract and expert commentary are provided for each study.

Check the Library's ejournals list for multiple subscriptions.

Unfiltered Resources

Evidence is not always available via filtered resources. Searching the primary literature may be required. It is possible to use specific search strategies in MEDLINE and other databases to achieve the highest possible level of evidence.

PubMed

To limit your PubMed search to the best evidence-producing studies: Click on "clinical queries" (on the left side of the screen). This specialized search is intended for clinicians and has built-in search "filters." Four study categories--therapy, diagnosis, etiology, prognosis--are provided, and you may indicate whether you wish your search to be more sensitive (i.e., include most relevant articles but probably including some less relevant ones) or more specific (i.e., including mostly relevant articles but probably omit a few).

EbscoHost Medline

PsycINFO

International coverage of the professional and academic literature in psychology, medicine, psychiatry, nursing, sociology, education, pharmacology, physiology, linguistics, and other areas.

To limit your PsycINFO search to the best evidence-producing studies: Click on the "Limits" icon to use "Clinical Queries" or limit to "methodology" types.

CINAHL

Cumulative Index to Nursing and Allied Health Literature

To limit your CINAHL search to the best evidence-producing studies: Click on the "Limits" icon to use "Clinical Queries" or limit to "Research" or other "publication" types (i.e., systematic review).

Evidence-Based Medicine Information Sites

Centre for Evidence-Based Medicine (Oxford University)

The Centre promotes evidence-based health care and provide support and resources to anyone who wants to make use of them. Includes the EBM Toolbox, an assortment of materials which are very useful for practitioners of EBM, and EBM Teaching Materials, including PowerPoint presentations.

Centre for Evidence-Based Medicine (Canada based)

Includes many resources for practicing and teaching EBM

Alberta Research Centre for Health Evidence

Contains links to recent publications published by the ARCHE team.

Introduction to Evidence-Based Medicine

From Duke University Medical Center Library and University of North Carolina at Chapel Hill Health Sciences Library.

SUNY Health Sciences Evidence-Based Medicine Course


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Critical appraisal

Need to critically appraise a randomized controlled trial or a systematic review?

Critical appraisal checklists can be found at:

Useful ebook:

Riegelman, R. K. (2005). Studying a study and testing a test: How to read the medical evidence (5th ed.).

Useful article on appraising qualitative research articles:

Côté, L. (2005). Appraising qualitative research articles in medicine and medical education.

Trip Database

This database (formerly Turning Research Into Practice) is useful for finding evidence-based material, including:

  • Australian clinical guidelines
  • systematic reviews from Cochrane Library and other sources
  • evidence-based synopses

Levels of Evidence

Not all evidence is created equal